Active NPI
Andrew Alan Sanders, PHARMD
- Pharmacist
- Newcastle, OK
National Provider Identifier
1073874749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14953
- Practice address
- 3232 Tri City Dr
Newcastle, OK 73065-6324 - Phone
- (405) 387-5006
- NPI assigned
- May 30, 2012
- Last updated
- Aug 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14953 | OK | Primary |
Addresses
Primary practice location
3232 Tri City Dr
Newcastle, OK 73065-6324
Mailing address
2550 Mount Williams Dr
Norman, OK 73069-9300
Phone (405) 809-8145
Other practice location 1
1003 W Gentry Ave
Checotah, OK 74426-2046
Phone (918) 473-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14953 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stigler Health and Wellness Center Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| J & M Bowles LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Checotah Pharmacy
- Community/Retail Pharmacy
- Checotah, OK
- NPI 1043492861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1073874749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 MOUNT WILLIAMS DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730699300",
"telephone_number": "405-809-8145",
"fax_number": "405-563-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 TRI CITY DR",
"city": "NEWCASTLE",
"state": "OK",
"postal_code": "730656324",
"telephone_number": "405-387-5006"
}
],
"practiceLocations": [
{
"address_1": "1003 W Gentry Ave",
"address_purpose": "LOCATION",
"city": "Checotah",
"state": "OK",
"postal_code": "744262046",
"country_code": "US",
"telephone_number": "918-473-3838",
"fax_number": "918-473-3841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS",
"first_name": "ANDREW",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-30",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newcastle, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.